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10Clic_. k Here To Search Our Public Records Database Before Subr�littirag Request
Formas Fara Be Submitted via Email to lodell c tcawaaof�va iaa .eras ov or in pea-son/via assail to 2
Rd Wappingers Falls, NY 12590 0 Middlebusla
FOR INTERNAL USE ONLY
Received by: Joseph P. Paolo.ni
Lynas O'Dell —�
Lor. MCConologl-IC
Date Received: /
FOII, Ser, #:
DEPARTMENT:
ASSESSOR
CJ
ACCOUNTING
�
CODE ENFORCEMENT
r�
PLANNING
L
ZONING
J
FIRE INSPECTOR
HIGHWAY
�2
RECEIVER OF TAXES
�
RECREATION
L
SUPERVISOR
L
TOWN CLERK
WATER/SEWER
DOG CONTROL, OFFICER
0
TOWN ENGINEER
F1
TOWN ATTORNEY
LJ
TOWN OF WAPP LAGER
Application for Public Access to Records
!"ed
ed
JAN 11 2023
FOR DEPARTMENT USE ONLY
Date Received by Dept, ✓ d
Department Head approval:
"ntt�
Date Applicant Contacted:
111<<�
Lute FO I ficlfilled oi. denied:
Closed by: �Ikr 1411,
/'
Date,�,-
Notes:
Amount Due:
Pages for a totaal of
Marne:
Address: /rte L,e�- J check here if you are
requesting that the records
Agency or fin -n. t ' be availed to this address.
Telephone #:_,
Email address: FAX : ( -
SPECIFIC DESCRIPTION OF RECORD.
S4 c
FORMAT OF RECORD (if available
F- I request to be notified when I can come request cop' inspect the record(s) described above
I ies of the records described above and agree to pay the cost of such recor
accordance with the fee schedule on the back of this application ds in
L request that the records be sent via e-mail to the address listed above
F I request that the records be faxed to the number listed above